NIA

COMMERCIAL LINES SUPPLEMENTALS/FORMS

ARIZONA

1. Networked Insurance Supplemental Application

2. NIA - New Venture Questionnaire

3. Building Update Questionnaire

4. Older Building Questionnaire

5. Sample Broker of Record Letter

6. Apparel Manufacturing Supplemental

7. Auto Repair Center Questionnaire

8. Business Income Worksheet

9. Computer Consultant Questionnaire

10. Condo/Townhome Supplement + Water Damage Questionnaire– Allstate

11. Consulting & Design Professional Liability Questionnaire – Architects & Engineers

12. Electronics & Instruments Manufacturers Supplemental

13. Electronics and Technology Supplemental

14. Financial Pacific Apartment Building Owners Questionnaire

15. Fireman’s Fund Underwriting Information Form

16. Food Processors Supplemental

17. Garage Questionnaire + NFPA Requirements: Spray Booths Addendum

18. Grocery Store Supplemental

19. Habitational Supplemental

20. Hotel/Motel Questionnaire

21. Janitorial Questionnaire

22. Lessor’s Risk Questionnaire

23. Lessor’s Risk with Restaurant

24. Manufacturers Supplemental

25. Medical Statement

26. Metal Manufacturers Supplemental

27. Metalworkers Supplemental

28. Mobile Home Park Supplemental

29. Mulitple Named Insured Questionnaire

30. Non-Owned Automobile Supplemental

31. Ocean Marine Application – International Transit/General Cargo

32. Ocean Marine Application – Technology Ocean Cargo

33. Plastic & Rubber Manufacturers Supplemental

34. Pollution Liability Questionnaire

35. Ready Mix Questionnaire

36. Restaurant Questionnaires

37. Wholesalers Supplemental

Contractors

1. General Liability - Supplemental

2. Contractors’ Equipment – Supplemental

3. Contractors Questionnaire – New Business

Financial Pacific

4. Contractors Questionnaire – Renewal

Financial Pacific

5. Farm Labor Contractors Questionnaire

6. Great American – Supplemental for Cranes

7. Safeco Contractors Supplemental

8. Subcontractor Insurance Requirements

9. Zurich Specialty Contractors Supplemental

10. Zurich Commercial Builders Risk Application

NIA CL Supplementals – Arizona - ed. 12/2003 2